Individual
ELISE A STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1429 PARK STREET, RESET FLOOR ONE, HARTFORD, CT 06106-0700
(860) 685-1254
(866) 285-7768
Mailing address
98 CAMPBELL AVE, VERNON, CT 06066-5404
(860) 685-1254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3517
CT
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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